JOHN H JACKSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114913597
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
56 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VT
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Provider Addresses for JOHN H JACKSON (CRNA)
289, Colesville Road, Town of Windsor, City of Binghamton, Town of Colesville, Broome County, New York, 13904, United States
WINDSOR, VT 050899000
Phone: (802) 674-7218
Fax: (802) 674-7005
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050523000811 | I | Certified Registered Nurse Anesthetist (Crna) | NH | TBD |
| I20070122000122 | I | Certified Registered Nurse Anesthetist (Crna) | VT | TBD |
| I20190618001027 | I | Certified Registered Nurse Anesthetist (Crna) | HI | TBD |
| I20200518000780 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 51 | 50 | $0 |
| 01214 | Anesthesia for total hip replacement | 35 | 35 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 29 | 29 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 24 | 24 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 23 | 23 | $0 |
Insurance plans in this area (ZIP 05089)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NH | |
| Certified Registered Nurse Anesthetist (Crna) | NM | |
| Certified Registered Nurse Anesthetist (Crna) | NH | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | NH | |
| Certified Registered Nurse Anesthetist (Crna) | NH | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| A N E S T H E S I O L O G Y | NY |
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